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Hematology

Overall by section

QuestionAnswer
Which cells are infected by EBV? B cells
Which receptor is used by EBV to infect B cells? CD21
Which virus is known to infect B cells via the CD21 receptor? EBV
What are the PBS findings in Spherocytosis? Spherocytes
Spherocytes and elevated bilirubin reflecting hemolysis. Dx? Spherocytosis
What is the result of the mutation in Hereditary Spherocytosis proteins? Increased RBC flexibility and homolysis
Which skeleton usually has the most active haematopoietically red bone marrow? Axial skeleton of young adults
What is a contraindication to use tPA in a patient with an ischemic stroke? Blood pressure > 185/110 mm Hg
Which genetic process or phenomenon is evidenced by A and B blood types? Codominance
How are the nuclei of PMNs described? Multilobular and azurophilic nuclei
Which type of cells are the first to respond to a gonococcal infection? PMNs
What is the definition of PMNs? Immune cell that has granules (small particles) with enzymes that are released during infections, allergic reactions, and asthma
What are types of PMNs? Neutrophils, Eosinophils, and basophils
On which cells is GpIIb/IIIa receptor found? Platelets
What is the role of GpIIb/IIIa in platelet aggregation? Binding of fibrinogen molecules after being activated by ADP, thrombin, or collagen
What is a severe cutaneous adverse effect of Warfarin? Warfarin-induced skin necrosis
What is inhibited by Warfarin? Synthesis of the vitamin K-dependent clotting factors II, VII, IX, and X, and proteins S and C
Which hematologic measure is increase using Warfarin? Prothrombin time
Does Warfarin affect PT or aPTT? Prothrombin time
What serum abnormalities triad characterizes DIC? Thrombocytopenia, increase clotting time (PT and aPTT), and decreased clotting factors and increased D-dimers
What causes DIC? Widespread of microthrombi in small vessels
Is Multiple Myeloma associated with hyper-or hypocalcemia? Hypercalcemia
What is Multiple Myeloma (MM)? Neoplastic proliferation of monoclonal plasma cells that produce enormous amounts of IgG, resulting in elevated levels of serum proteins
Which Ig is produced in vast amounts in MM? IgG
Which neoplasm is associated with increased amounts of IgG produced by plasma cells? Multiple Myeloma
What are the blood finings of CML? Leukocytosis, anemia, and basophilia
Which translocation is associated with CML? t (9;22)
What is a primary role of Basophils? Mediate allergic response through IgE receptor activation
Which PMN is known to mediate allergic reactions through IgE receptor activation? Basophils
What is the most common presentation of Pulmonary embolism? Pleuritic chest pain, tachypnea, and often DVT
What is the MCC of inherited thrombocytopenia? Factor V Leiden mutation
Which inherited condition is associated the increased risk of recurrent thrombotic events secondary to decreased cleavage of factor V and by protein C? Factor V Leiden mutation
How is Vitamin K deficiency presented? Easy bruising and a propensity for bleeding, along with increase in PT and PTT
Which broad spectrum antibiotics present the highest risk for eventually developing Vitamin K deficiency? Cephalosporins
What is the role or function of Vitamin K? Carboxylation of glutamine and residues
Which vitamin deficiency would lead to impaired carboxylation of glutamine and residues? Vitamin K deficiency
What are the associated levels of Ferritin and TIBC in Iron deficiency anemia? Decreased MCV and Ferritin, and increased TIBC
What is the most likely anemia of an infant that is exclusively breastfed and shows decreased activity? Iron deficiency anemia
What are the histological findings of skin biopsy of Sezary syndrome? Lymphocytes with "cerebriform" nuclei, and elevated CD4+ count
What are the clinical findings of Sezary syndrome? Erythroderma, generalized lymphadenopathy, and pruritus
What are the most common clinical findings of T-cell acute lymphoblastic lymphoma? Anemia, thrombocytopenia, leukocytosis, a mediastinal mass
How are the lymphoblast in T-cell acute lymphoma described in biopsy? Cells with light-blue, scanty, a nongranular cytoplasm
What are the causes of hemochromatosis? Increased effacing of dietary iron absorption and increased hepatic iron storage
What are the main clinical symptoms of Hereditary Hemochromatosis? Hepatosplenomegaly, weakness, lethargy, and joint pain
How is Hemochromatosis confirmed? Hemosiderin deposits on the liver biopsy
Is TIBV increased or decreased in the blood of a patient with Hemochromatosis? Decreased TIBC
Which serum iron-related levels increased in hemochromatosis? Serum iron and ferritin
What is the most common presentation of Follicular lymphoma? Middle-aged adult with waxing and waning painless lymphadenopathy
What is the associated gene (protein) of Follicular lymphoma? BCL-2
What is the associated translocation of Follicular lymphoma? t (14;18)
What kind of gene is BCL-2? Antiapoptotic gene
Created by: rakomi
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